Headway Physical Therapy

We are not a chain! Headway Physical Therapy LLC is rooted in Raleigh - owned by Dr. Casey Roy - a North Carolina native with a vision of creating a clinic with a focus on social responsibility, community integration, and providing the specialized care that Headway PT's patients deserve.

I believe the community comes first. As much as I (Dr. Casey) would love to provide free care for all, as I believe that health care is a right, not a privilege, I can't do that for everyone if I want to keep my doors open. After your initial evaluation, if cost is a concern, there is a form you can fill out if you believe you may require discounted care. Also, if you find me at one of my free screening events (check out my instagram to stay tuned with where I'll be next!) you will receive a 20% discount off your initial evaluation. Starting a new business is hard, and I want to take time to thank and appreciate all those who have supported me so far. For those who do pay full cost right now, your full payments help allow me to continue offering discounted care as a service which may be helping to provide care to: - A veteran transitioning out of service - A new graduate who has not yet established health insurance or secured a job - A person experiencing domestic abuse and homelessness - Someone who has suffered from extreme unexpected medical expenses (i.e. surgery following a car crash or cancer treatment) Your support means the world to me, and I look forward to many years to come in serving our Triangle community!

YES. Any medication you are prescribed by your physician, you should always continue to take until they say otherwise. Some medications when stopped abruptly can have serious side-effects. If you believe you are having an adverse reaction to a medication, it's recommended that you be seen at an emergency room to determine appropriateness for continued or discontinued use of any medication. In most cases, migraine medications in conjunction with physical therapy is the best solution to managing your symptoms and having the best outcomes possible. For some, physical therapy is enough to stave off the initial need for medication all together.

If you ask any physical therapist, our least favorite answer in PT school when we would ask a question is "it depends." However, "it depends" is a very appropriate answer in this situation. Right now, Dr. Casey Roy is the sole Physical Therapist at Headway PT and is specializing in neck pain, headaches, and migraines, but she has a background in treating limb loss, orthopedic conditions, chronic pain, balance, and gait deviations. On a case-by-case basis, other conditions may be accepted for evaluation and treatment at Headway PT. If you're unsure if a condition you need treatment for can be treated here, please schedule a free 15 minute consult today! Please note, our current facilities are not ADA compliant as they are on the second floor of a building with no elevators. At-home care will potentially be an option in the near future to help those with physical disabilities receive the care they deserve! At some point, Headway PT may take on more physical therapist who have backgrounds in various clinical settings. However, in perfect alignment with treating chronic pain conditions, we do currently have a PTA (physical therapy assistant), Lauren Newmeyer, who is also a licensed massage therapist and a certified lymphedema therapist. Lymphatic massage is a highly sought after treatment that is provided on site!

NO! In fact, it is illegal for providers to receive monetary compensation for referrals. Anytime a provider refers you to us, it's because they believe in the value of the care we provide to our patients.

While the majority of physical therapist specialize in providing traditional orthopedic care for people who've undergone an injury, surgery, or have conditions such as osteoarthritis, physical therapist actually have a wide range of services we can provide. For a long time, migraines were vastly misunderstood, and in many ways, still are. What we do know is that by therapists utilizing hands-on manual techniques to mobilize soft tissue and joints in the cervical and thoracic spine, integrating care with physical exercise to improve posture, and utilizing relaxation strategies that help make physiological changes to the nervous system, physical therapy has proven to be very effective in reducing the frequency and intensity of migraines. At our clinic, we also have access to gammaCore Sapphire which is an external vagus nerve stimulation. Use of this device in combination with more traditional physical therapy has shown incredibly promising research over the last 5 years, and is worth a try! Why wait? Book an appointment or free consult with us now to give this new technology a try!

Cash-based physical therapy can be an excellent option at Headway Physical Therapy for several reasons: First, it allows for one-on-one care in contrast to corporate clinics who schedule 2-3 patients within a one hour time frame to each therapist. Cash based services often result in more personalized and high-quality care. Second, since we don't rely on insurance reimbursements, our therapists can focus entirely on the patient's needs without adhering to the constraints imposed by insurance companies which occasionally lead to unethical practices resulting in worse outcomes for patients. The best part is, you can still submit what's called a "super-bill" to your insurance for possible partial or full reimbursement. Third, cash-based physical therapy often eliminates hidden costs and billing surprises, providing clear and upfront pricing, which can be more cost-effective in the long run. The average physical therapy co-pay is $45. Most insurance-based clinics will encourage their physical therapist to have you come into the clinic 2-3 times regardless if you require that frequency of care or not. The majority of care plans average around 8-12 weeks. On the low end, at 2 times a week for 8 weeks, thats $720. On the high end, thats $1620. Often that care is also given while another patient is being treated at the same time as you, and insurance policies are constraining your therapist on what services they can provide. Here, our evaluations are $130, and our treatment sessions are $100, and even less if you can provide proof of financial hardship. That's 7 total sessions you could have with one-on-one care, for the same price you'd pay with insurance, and with the caveat of having to deal with the split attention of the therapist who are trying to juggle between multiple patients. At Headway Physical Therapy, we are committed to empowering your path to a higher quality of life, and our cash-based model aligns perfectly with that mission by prioritizing your health and wellness over insurance bureaucracy.

Unfortunately there are no possible ways to get into the clinic without using stairs. If you have a disability that prevents you from being able to arrive in person at our clinic, please call to discuss other options. Everyone deserves care!

The start: Each treatment session will start with a conversation on how you've been since the last time you've been seen at the clinic. During: Depending on the care you need, either manual therapy will be performed, exercises, relaxation techniques, continued planning, or a combination of all those put together. After: We can either make more appointments together, and plan for you to independently to manage your care!

Right now, Headway Physical Therapy is strictly offering examination and treatment of neck pain, headache, and migraine conditions. We also have a physical therapy assistant who is also a licensed massage therapist and a certified lymphedema therapist.

The first appointment that should be booked is an initial examination. Without an initial examination, no personalized plan of care can be developed to ensure the best outcomes possible. Following the initial exam, treatment sessions will be booked based on the plan that was derived. Once the original plan of care is complete, maintenance and wellness sessions can be booked that will help maintain your progress. Click the button now to book your appointment today!

Once you've completed your plan of care and no longer required skilled physical therapy services, you have the option to participate in 30 minute sessions that will either address manual trigger point therapy or adjusting your home exercise program. These sessions allow you to maintain your progress, preventing you from requiring a higher level of care, and ultimately, saving you money!

Free consults are encouraged for EVERYONE who plans to book an initial examination with Headway Physical Therapy. This will be a free 15 minute office visit with me to quickly discuss what your concerns are. I will give you a completely honest answer if I think you could benefit from the services at Headway Physical Therapy. Sometimes another provider may be more appropriate for you based off that discussion and I will recommend that path forward instead. Your time is valuable, and your health is my priority.

Payment is due after each appointment, and we accept cash and all major credit/debit cards. We do not currently accept checks at this time due to limited availability for in-person bank deposits. There is currently no cancellation fee, but if cancellations become a frequent occurrence, appointments may only be made on the day of based on availability. All appointments are made on PT Everywhere, a local company specializing in electronic medical records management. Once you've made an appointment, you will have the option to cancel or reschedule that appointment online using PT Everywhere. Within the 24 hour period before your appointment, you will need to call or email in to cancel. Even though I don't charge a cancellation fee, please understand that Headway PT is a new and small business. To keep us up and running, the reliability of cash flow from our bookings is vital to ensure we can plan effectively so that we can remain in business and help the most amount of people possible. Last minute cancellations also take a spot away from another patient who may need care. We understand that emergency situations occur, which is why Headway PT will always try our best to reschedule. We value our patients time, and respect that you are choosing to put value into your care with us. We appreciate your understanding in this matter, and if you have further questions, please reach out by going to our contact page and sending us an email!

Before your initial exam... At the time of booking, you will be prompted to fill out a series of forms that should give a good idea on what exactly you're coming in for so your exam can be effectively tailored for you. Arriving to the clinic... Please arrive 5-10 minutes early if possible to ensure you get parking. If you get confused or lost looking for the clinic, please call! The exam itself... Is a one hour exam that will start with a subjective history of your condition, followed by a physical examination that will look at range of motion and strength, test for "red flags" that may warrant referral to other providers, and special tests that may help to identify a more concise diagnosis - be it cervical radiculopathy, thoracic outlet syndrome, cervicogenic headache, or true migraines - by the end of the exam, we'll go over education about objective findings of the exam. At the end of the session, a shared decision making model will be used to guide the plan of care we'll create. Because people have different schedules and financial capabilities, each patient's plan will be unique to them. I'll only recommend what I believe you genuinely need. From there, we'll make follow-up treatment session appointments. After the exam... You can either book follow-up treatment appointments at the end of your treatment session, or you can choose to book follow-up appointments at a later time with a phone call or email. You can also choose to discontinue care if you feel physical therapy services aren't right for you. If that is your option, I only ask that you let me know, and I will understand. I'll never try to pressure anyone into something they don't find valuable!